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General NPI Number Information
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NPI Number | 1982362026
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Entity Type | Individual
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Provider Name | JONATHAN ALLOTEY DNP
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Gender | Male
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 333 H ST STE 2010
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City | CHULA VISTA
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State | CA
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Zip | 91910-5556
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Country | US
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Telephone | 619-906-5435
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Fax |
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Provider Business Mailing Address
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Address Line | 823 GATEWAY CENTER WAY
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City | SAN DIEGO
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State | CA
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Zip | 92102-4541
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Country | US
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Telephone | 619-515-2300
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95021858
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95170806
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License Number State | CA
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